Shrapnel—Plate 120.
LOWER EXTREMITY.
Gunshot Fracture of the Femur,
with Lodgment of Multiple Missiles.
The position of the femur is in outward rotation, as shown by the full shadow of the lesser trochanter and the vanishing of the greater trochanter behind the shoulder of the neck. The two larger missiles lie on the outer side of the bone and the others lie in front on the seat of fracture. The greatly deformed shrapnel balls and the slight chipping fracture of the femur indicate that the greater portion of the striking energy of the missiles was so dissipated in ricochet that but little force was left for attack on the bone.
The treatment in such cases is expectant and indication rarely arises for search for and removal of the missiles.
Plate 121.
Shrapnel—Plate 121.
LOWER EXTREMITY.
Gunshot Fracture of the Shaft of the Femur,
with Lodgment of the Missile.